The Incidence of Dysphagia in Patients Receiving Cerebral Reperfusion Therapy Poststroke

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dc.contributor.authorRibeiro, Priscila W. [UNESP]
dc.contributor.authorCola, Paula C.
dc.contributor.authorGatto, Ana R.
dc.contributor.authorSilva, Roberta G. da
dc.contributor.authorLuvizutto, Gustavo J. [UNESP]
dc.contributor.authorBraga, Gabriel P. [UNESP]
dc.contributor.authorSchelp, Arthur Oscar [UNESP]
dc.contributor.authorHenry, Maria Aparecida Coelho de Arruda [UNESP]
dc.contributor.authorBazan, Rodrigo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionSch Pholosophy & Sci
dc.date.accessioned2014-12-03T13:10:35Z
dc.date.available2014-12-03T13:10:35Z
dc.date.issued2014-07-01
dc.description.abstractBackground: The high prevalence of dysphagia after stroke leads to increased mortality, and cerebral reperfusion therapy has been effective in reducing neurologic deficits. The aim of this study was to investigate the severity and evolution of dysphagia and the occurrence of pneumonia in patients submitted to cerebral reperfusion therapy. Methods: Seventy ischemic stroke patients were evaluated. Of these, 35 patients (group 1) were submitted to cerebral reperfusion therapy and 35 (group 2) did not receive thrombolytic treatment. The following were evaluated: severity of dysphagia by means of videofluoroscopy, evolution of oral intake rate by means of the Functional Oral Intake Scale, and the occurrence of pneumonia by international protocol. The relation between the severity of dysphagia and the occurrence of pneumonia with the treatment was evaluated through the chi-square test; the daily oral intake rate and its relation to the treatment were assessed by the Mann-Whitney test and considered significant if P is less than .05. Results: The moderate and severe degrees of dysphagia were more frequent (P = .013) among the patients who were not submitted to cerebral reperfusion therapy. The daily oral intake evolved independently of the treatment type, without statistical significance when compared between the groups, whereas pneumonia occurred more frequently in group 2 (28%) in relation to group 1 (11%) and was associated with the worst degrees of dysphagia (P = .045). Conclusions: We can conclude that there is improvement in the oral intake rate in both groups, with lower severity of dysphagia and occurrence of pneumonia in ischemic stroke patients submitted to cerebral reperfusion therapy. (C) 2014 by National Stroke Associationen
dc.description.affiliationUniv Estadual Paulista, Botucatu Sch Med, Neurol Serv, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationSch Pholosophy & Sci, Dept Phonoaudiol, Marilia, Brazil
dc.description.affiliationUniv Estadual Paulista, Botucatu Sch Med, Dept Surg, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Botucatu Sch Med, Neurol Serv, BR-18618970 Botucatu, SP, Brazil
dc.description.affiliationUnespUniv Estadual Paulista, Botucatu Sch Med, Dept Surg, BR-18618970 Botucatu, SP, Brazil
dc.format.extent1524-1528
dc.identifierhttp://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2013.12.033
dc.identifier.citationJournal Of Stroke & Cerebrovascular Diseases. Amsterdam: Elsevier Science Bv, v. 23, n. 6, p. 1524-1528, 2014.
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2013.12.033
dc.identifier.issn1052-3057
dc.identifier.lattes5248388716505709
dc.identifier.lattes7862086981190726
dc.identifier.urihttp://hdl.handle.net/11449/112278
dc.identifier.wosWOS:000338475600039
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal Of Stroke & Cerebrovascular Diseases
dc.relation.ispartofjcr1.598
dc.relation.ispartofsjr0,732
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectStrokeen
dc.subjectthrombolytic therapyen
dc.subjectdeglutitionen
dc.subjectdeglutition disordersen
dc.subjectdysphagiaen
dc.titleThe Incidence of Dysphagia in Patients Receiving Cerebral Reperfusion Therapy Poststrokeen
dc.typeArtigo
dcterms.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dcterms.rightsHolderElsevier B.V.
unesp.author.lattes5248388716505709[7]
unesp.author.lattes7862086981190726
unesp.author.orcid0000-0002-2016-3566[4]
unesp.author.orcid0000-0001-5928-7497[7]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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